Individual
DR. MARC JOSEPH MYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12081 285TH ST, LINDSTROM, MN 55045-8084
(612) 393-1212
(651) 400-3892
Mailing address
PO BOX 833, LINDSTROM, MN 55045-0833
(612) 393-1212
(651) 400-3892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
43740
MN
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
61-22856
MN
Other
Enumeration date
08/11/2011
Last updated
04/01/2021
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